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- $Unique_ID{BRK02167}
- $Pretitle{}
- $Title{Why Should I be Tested for Hepatitis B?}
- $Subject{Hepatitis B pregnancy pregnant test virus HBV chronic carriers liver
- cancer cirrhosis liver intravenous drug abuse heterosexual contact multiple
- partners male homosexual activity Treatment immunization immune globulin
- vaccine }
- $Volume{}
- $Log{}
-
- Copyright (c) 1993 Tribune Media Services, Inc.
-
-
- Why Should I be Tested for Hepatitis B?
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-
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-
- QUESTION: I am now pregnant with my third baby, and it's been 5 years since
- the last one. My doctor is requesting me to have a test for hepatitis type B,
- though I never had the disease, never have been abroad, and don't drink. Can
- you offer me any reasonable explanations for his actions? I guess I am asking
- you for a second opinion and hope that you don't mind.
-
- ------------------------------------------------------------------------------
-
- ANSWER: No I don't mind at all, that's why I am here. It is clear that you
- have read little about this type of hepatitis, and so a little background
- information is in order. Hepatitis B is not a rare disease. Each year more
- than 300,000 persons become infected with hepatitis B virus (HBV) in the
- United States alone, and more than 10,000 require hospitalization. However,
- more than one-half of patients who have acute hepatitis B have show no
- symptoms of their infection. Fortunately, most HBV infections resolve with
- time, about 90 to 95 percent, but the rest develop a chronic carrier state
- can't be detected on a routine physical examination.
- There are an estimated 500,000 to 1 million people in the U.S. who are
- chronic carriers of HBV. Babies born to mothers who are positive for
- hepatitis B have a 70 to 90 percent chance of becoming infected at or soon
- after birth, and nearly all also become chronic carriers of the virus. More
- than 1/4 of chronic HBV carriers die of liver cancer or cirrhosis of the
- liver, averaging a life span of but 50 years.
- All pregnant women should be tested for hepatitis B at their first visit.
- The test may be repeated for women in their last three months of pregnancy if
- they are at increased risk of exposure to the disease during pregnancy. The
- principal risk factors for HBV infection in the United States are intravenous
- drug abuse; heterosexual contact with HBV-infected persons, HBV chronic
- carriers or multiple partners; and male homosexual activity.
- Early detection of HBV in the mother can help prevent infection in the
- newborn. Treatment beginning soon after birth with hepatitis B immune
- globulin and hepatitis B vaccine is highly effective in preventing the
- development of the chronic carrier state during childhood. So you see you
- didn't have to travel, drink, or even be aware of the disease for this new
- testing to be essential to the health of your baby.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-